Organization
OLIVE PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA THANE HARLAN (CHIEF OPERATIONS OFFICER)
(530) 533-3103
Entity
Organization
Contact information
Practice address
2721 OLIVE HWY, OROVILLE, CA 95966-6115
(530) 533-3103
(530) 533-3962
Mailing address
2721 OLIVE HWY, OROVILLE, CA 95966-6115
(530) 533-3103
(530) 533-3962
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY45157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA451570
—
CA
Enumeration date
06/13/2006
Last updated
12/11/2007
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